Permit C ITY OF TIGARD MECHANICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: MEC2006 -10057
° j — 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/13/2006
PARCEL: 1 S136AD -01300
SITE ADDRESS: 10470 SW 69TH AVE ZONING: R -4.5
SUBDIVISION: VILLA RIDGE LOT: 001 JURISDICTION: TIG •
Project Description: Install venting and gas line for tanldess water heater.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm: .
Owner: FEES
ROSS MONROE Description Date Amount
10470 SW 69TH AVE [MECH] Permit Fee 6/13/200E $72.50
TIGARD, OR 97223 [TAX] 8% State SurcharE 6/13/200E $5.80
Total $78.30
Phone:
Contractor:
GEORGE MORLAN PLUMBING
2222 NW RALEIGH REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97210
Contact #: PRI 503 274 - 1444
FAX 503 265 - 0538
Reg #: LIC 2734
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 -332-
Issued By: ? � ,ti j Permittee Signat , re: fi /ems
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN-13-206 09:58 GMP ,, -, P.2
PemitNe.: 1-404c6b, .._ /00_57
MY of Ulan'
1312S SW NO Blvd. Tigard. OR OW Sao Mow
1 Ir.' Bum 501630071 Fear 503131.1960 • 1 : ' - 7.0 Main
tospeetiontinn 50.1.6.19.4175 k ) \ - Dee Ilestday.
gm rezeimerautori..
bI tt r act .....opm.onago e . Netifiod/htethod:
s ' ' . • 0 1 . fi
- - ,.= I , • . • • • 7 . ! . ■ ‘.'2t1. . -,4.7-•-j f. i. ,, : • ,1 1
. • . : .*: .• !••• '. '' .:°14140414-'7--. .''....- \ 1 7. ‘V.P :4.•+il, - ...■ ..... . w.. _
• .:,
. . . . Mechanieal permit fees arc based on the value aft work
New arnsoiaction .i - rionia: . a tilitreplacteing minted. Indicate dm value ntied to die neaten dolls-Ode'
Demolition • Other: dial, - .:J. - lobar • -
•
• • - ' l! '' Y. • . -.• , 4 ' . .. titfillittealit :.... -... : • !Y fril '
•:1:- ' i . • Wee: S
--..
end 2-family dwelling 0 CammurciallbehistrIel 0 Accessory bagrling far far - • - to Agatha
ri Multi-femily 0 Me= builder 0 Odor: . Devietioa
.44s,00000 itsiv : .7:t , ...,1 i.10). ' saktirnetallim Q. Es. Total
•
Job oite MOMS: i D Li 91D U3 se-iir- ATE. Air cOntlibonilg WWI PIMP
(mulct its igra thouenotleounou 14.00
City/State/ZIP: - 1 - a, d'' 0 9 - a-S Famsta 1 • • • • • B ...:.J..,._ 1440 Mill
nowt 100.000, BTU • . - . • I 17,90 Mil
Suite/014,W no.: Pioject mane: i we go .42_ 4.00 ME
. Cras •.....:
• •_,Lai • •
Ctoss streatlditections ua job site: Dues *ark III 14.00
Hvdmaic bat vases 1 - 4. .1
Recithatial W bail (ra & diator
hyritunic) 111 14.00 I
Unit bates Mel-typo. not elemic),
in-asti. in-does. moot* or.. 1000
- Socitoent &• Env of above 10.00
Subdivision: Lm .:
Other: 10.00
Tax map/panel Bo.: , Othott fuel eurroaces
' • i .‘ " ''' 3VIKIDISSIIID70011 7: . : .f " 1 , 1""1 , 1 . 1. ?" P "." Water heater 1 moo
iiiin cato
• i A.
. ,L
• MOO
_.. .
0
, la /., . A ' a VAA MI iginill. moa
10.00
• • ..._--
Wood saanasert 10.00
_
—. Ch. 'oararttorwalt 10.00
Ct•hif$1004 . 1 '':: ; • .• '•:' 4 .: 3 05/4 1 Ala . . . : -
.-....- Other MEI 10-00 Mil
MIME 1 I • mental eshavet mad veadtatian
_ - Raw hcodlottter losebea
Address: •,, • • . - 10 00
CityiStatearP: Clotho .. - edema 10.08
- Siosladoes mamas (bedgeowa,
Phone: ( ) Trar ( ) team - • . , - . , 100Ird 6.110
- • .. CYAijaiobispr .. .•:: . : . :: . • .- • ... . Attle/crevaieLteco Cos 10.00
Other
10.00
Bus name.
r( i° 211 ---- ----- • -----.
•
Contact noon: 3SM far Ent (eon SIM for each additional
Address: Formic. dc. ,
Gas hest teem
City/StatealP: Wahaseendedhail beget
•
Phonr: ( ) 1 • _ . : ( ) Wese Amur J.
-
Fintatece
— --- - , Jaw
11 1 ' - - • - - . 7 -
• • . . . : .. '. . i :. ... ., . .. V.• iginniczoir . • • • -... ..,- : - • - ..__
_...
, Mother rimer fattl .
Burin= num " /a ' \psn b adliik t 1 A t 1 • -
Oaten
Maims: ‘93-02- N- ga ict tit) ,i...1 : .. • - .. : .
c° PCY .
X t crialD , - Subtotal
Phony (607-3 a 9 L.I.- 1 LA 1.41.4 i For_ (ob•S o(e cl. 0c6iii Minimum warsoit fro (S72.50) 1,12„Ali
Pita mime P-S% Optima as)
CCB lic.: a- 3 Me sitoborlp (1136 of wail 63) e " •
Ia ---.- .. r - TOTAL MOM rex . go
Authorized Siltha . ., : I/ -.,im.._-_--...7-..-_-w—. 'Ms routitooelitaciao e
owlts So point ka wet bb& literal tea
..„, days ems b ilms Ism mogni PO empittb
- - ' 1 a .4 a Date: e - -- at - • Fee Iltelfeldelto0 501 bY 'Me-Wm lbeihgna bithatry Scre■ DR Bowl
ealihlinommis . • • Are MAW 4464617T (11/C4COSWED)
CITY OF TIGARD N ° T 1 '� `'�� 1 /• Tr/>.e �� -,2/�
ate-c. .
BUILDING DIVISION PERMIT #: ZoQ ' - /6057
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED:
Phone: (503) 639 -4171 Ar m u �'gp"kl (
Inspection Requests (24 Hrs.): (503) 639 -4175 :ill.
INSPECTION WORKSHEET FOR DATE: • TIME: PAGE:
SITE ADDRESS: /b ty 7 v ? CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: (o - / 4 1'" 0 (. Pour Time: iti f,/���
Code # Inspection Description Confirm # Contact # Message
0 a5 wIt9ch • rt-eLeu
6/v 6 '7 7q -14v`f a
Corrections /Comments /Instructions:
. A 1,
(LLo :*e__ (/ 0 rep"
-
X11 _ - _ te
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: C✓ 14— /tj/ Phone #: (503) 718 - -2.J,